DR. Luther V Laite IV, PHARM.D.

NPI #1790070100 in Malabar, Florida

Provider Information

NPI Number: 1790070100
Entity Type: Individual
Name: DR. Luther V Laite IV, PHARM.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Jun 14, 2011
Last Updated: Jun 14, 2011

Practice Location

Address: 3500 REEF PL
City: Malabar
State: Florida
ZIP Code: 32950-4631
Phone: (321) 749-2989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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